SEBASTIAN COUNTY JUDGE COURTHOUSE NPI 1558380725

NPI Information

NPI: 1558380725
Provider Name: SEBASTIAN COUNTY JUDGE COURTHOUSE

Doing Business As: SEBASTIAN COUNTY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 04D2049407

Address:
35 S 6TH ST
FORT SMITH, AR
ZIP 72901
Phone: (479) 783-1095
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SEBASTIAN COUNTY JUDGE COURTHOUSE is a land transport ambulance in Fort Smith, AR. SEBASTIAN COUNTY JUDGE COURTHOUSE NPI is 1558380725. The provider is registered as an organization entity type.
The provider Is Doing Business As Sebastian County Ems.

The provider's business location address is:

35 S 6TH ST
FORT SMITH, AR
ZIP 72901-421
Phone: (479) 783-1095
Fax: (479) 784-1588

The provider's authorized official is David O. Hudson .
The authorized official title is County Judge and has the following contact phone number (479) 783-6139.

The CLIA number assigned to this NPI record is 04D2049407 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 3/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	718	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47319	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD
2	47319	MEDICARE PIN	ARKANSAS
3	105704715	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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